MR. Lyle Spencer Bourcy, LCPC

NPI #1235130162 in Fruitland, Idaho

Provider Information

NPI Number: 1235130162
Entity Type: Individual
Name: MR. Lyle Spencer Bourcy, LCPC
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Counselor - Professional
Credential: LCPC
Enumeration Date: Aug 2, 2005
Last Updated: Jul 9, 2007

Practice Location

Address: 1303 NW 16TH ST
Address 2: SUITE C
City: Fruitland
State: Idaho
ZIP Code: 83619-2263
Phone: (208) 250-0374

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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